Papillomavirus Vaccines Clinical Trial
Official title:
Implementation of a Provider-Focused Intervention for Maximizing HPV Vaccine Uptake in Young Cancer Survivors Receiving Follow-Up Care in Pediatric Oncology Practices: A Cluster-Randomized Trial
The focus of this research is on increasing the uptake of the human papillomavirus (HPV) vaccine in young cancer survivors, a vulnerable population at high risk for developing new cancers (such as cervical and anal cancer) caused by persistent HPV infection. An effective vaccine exists that can prevent these cancers, but HPV vaccine uptake is low among young cancer survivors. This research will evaluate the effectiveness and implementation of an evidence-based intervention, adapted for use by healthcare providers in pediatric oncology clinics, to increase the uptake of HPV vaccine among young cancer survivors 9-17 years of age. Results of this research will provide important information that can be used to implement new strategies to increase the uptake of the HPV vaccine among young cancer survivors.
Status | Recruiting |
Enrollment | 5196 |
Est. completion date | January 31, 2026 |
Est. primary completion date | January 31, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 9 Years and older |
Eligibility | Inclusion Criteria: 1. HEALTHCARE PROVIDERS (ONCOLOGISTS, ADVANCED PRACTICE PROVIDERS) - =18y of age - Care for cancer survivors seen in the targeted clinic who are age 9-17y, =1y off-therapy, and reside in the state where clinic is located - Licensed to order vaccines - Willing to complete surveys and/or interviews 2. CHILDHOOD CANCER SURVIVORS - 9-17y of age - =1y following completion of cancer therapy - Reside in the state where clinic is located - Receive follow-up care (in person or via telehealth) at the participating sites Exclusion Criteria: N/A |
Country | Name | City | State |
---|---|---|---|
United States | Emory University | Atlanta | Georgia |
United States | University of Alabama at Birmingham | Birmingham | Alabama |
United States | Baylor College of Medicine | Houston | Texas |
United States | University of Minnesota | Minneapolis | Minnesota |
United States | Oregon Health and Science University | Portland | Oregon |
United States | Wake Forest University Health Sciences | Winston-Salem | North Carolina |
Lead Sponsor | Collaborator |
---|---|
University of Alabama at Birmingham | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | HPV vaccine series completion rates | Proportion of cancer survivors, age 9-17y, and =1y post-completion of cancer therapy, who completed a clinic visit (in-person or via telehealth) at one of the participating sites during the intervention or sustainability years, and who have completed the HPV vaccine series, as measured via state vaccine registry data | 12 and 24 months (all sites), and 36 months (sites D, E, F only) following implementation of the HPV-PROTECT Intervention | |
Other | Sustainability of HPV vaccine initiation rates | Proportion of cancer survivors, age 9-17y and =1y post-completion of cancer therapy, who completed a clinic visit (in person or via telehealth) at one of the participating sites during the intervention and/or sustainability years, and who have initiated the HPV vaccine series, as measured via state vaccine registry data | 24 months (all sites) and 36 months (sites D, E, F only) following implementation of the HPV-PROTECT Intervention | |
Primary | HPV vaccine initiation rates | Proportion of cancer survivors, age 9-17y and =1y post-completion of cancer therapy, who completed a clinic visit (in-person or via telehealth) at one of the participating sites during the intervention year, and who have initiated the HPV vaccine series, as measured via state vaccine registry data | 12 months following implementation of the HPV-PROTECT Intervention. | |
Secondary | Provider perspectives regarding intervention feasibility, acceptability, appropriateness, fidelity | Descriptive statistics summarizing provider survey data and qualitatively coded provider interview data integrated to evaluate the feasibility (perceived potential for success), acceptability (perceived need), and appropriateness (perceived fit) of the HPV-PROTECT intervention to the pediatric oncology setting, and provider adherence (fidelity) to intervention components (e.g., delivery of recommendations, developing and communicating vaccine action plans to parents and PCPs) | Months 11-12 of the Intervention Year (i.e., Year 2 for sites D, E, F and Year 3 for sites A, B, C)] | |
Secondary | Change in provider HPV vaccine-related knowledge and practices | Descriptive statistics summarizing provider HPV vaccine-related knowledge and practices as reported on provider surveys | 12 and 24 months [all sites], and 36 months [sites D, E, F only] following implementation of the HPV-PROTECT Intervention) |
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